Shi‐Chung Chang

Haoxiang Zhang, Shi Chang, Arthur Leung et al.

The rise of Foundation Models (FMs) like Large Language Models (LLMs) is revolutionizing software development. Despite the impressive prototypes, transforming FMware into production-ready products demands complex engineering across various domains. A critical but overlooked aspect is performance engineering, which aims at ensuring FMware meets performance goals such as throughput and latency to avoid user dissatisfaction and financial loss. Often, performance considerations are an afterthought, leading to costly optimization efforts post-deployment. FMware's high computational resource demands highlight the need for efficient hardware use. Continuous performance engineering is essential to prevent degradation. This paper highlights the significance of Software Performance Engineering (SPE) in FMware, identifying four key challenges: cognitive architecture design, communication protocols, tuning and optimization, and deployment. These challenges are based on literature surveys and experiences from developing an in-house FMware system. We discuss problems, current practices, and innovative paths for the software engineering community.

Hongyuan Zhang, Yuheng Wu, Mingyang Zhao et al.

Artificial intelligence (AI) that can effectively learn ultrasound representations by integrating multi-source data holds significant promise for advancing clinical care. However, the scarcity of large labeled datasets in real-world clinical environments and the limited generalizability of task-specific models have hindered the development of generalizable clinical AI models for ultrasound applications. In this study, we present EchoCare, a novel ultrasound foundation model for generalist clinical use, developed via self-supervised learning on our curated, publicly available, large-scale dataset EchoCareData. EchoCareData comprises 4.5 million ultrasound images, sourced from over 23 countries across 5 continents and acquired via a diverse range of distinct imaging devices, thus encompassing global cohorts that are multi-center, multi-device, and multi-ethnic. Unlike prior studies that adopt off-the-shelf vision foundation model architectures, we introduce a hierarchical classifier into EchoCare to enable joint learning of pixel-level and representation-level features, capturing both global anatomical contexts and local ultrasound characteristics. With minimal training, EchoCare outperforms state-of-the-art comparison models across 10 representative ultrasound benchmarks of varying diagnostic difficulties, spanning disease diagnosis, lesion segmentation, organ detection, landmark prediction, quantitative regression, imaging enhancement and report generation. The code and pretrained model are publicly released, rendering EchoCare accessible for fine-tuning and local adaptation, supporting extensibility to additional applications. EchoCare provides a fully open and generalizable foundation model to boost the development of AI technologies for diverse clinical ultrasound applications.